Terry D Herzog RN

NPI No. 1417460569 - Registered Nurse

 

Contacts & Locations

Practice Address

  • 1501 Airport Rd
    Waukesha, Wisconsin 53188, US
  • Phone: (262) 548-7986
  • Fax: (262) 970-4799

Office Address

  • 13650 W Graham St
    New Berlin, Wisconsin 53151, US
  • Phone: (262) 938-9323

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Terry D Herzog Information

The 1417460569 NPI number belongs to Terry D Herzog RN. Terry D Herzog is an Individual and working at 1501 Airport Rd, Waukesha WI 53188, you can also contact him via phone number (262) 548-7986. Terry D Herzog's specialty is listed as Registered Nurse.

About NPI No.

  • NPI Number: 1417460569 (Individual)
  • Name: Terry D Herzog
  • Credential: RN
  • Individual: Physicians, dentists, nurses, chiropractors, pharmacists, physical therapists, etc.
  • Taxonomy

  • Taxonomy code: 163W00000X
  • Taxonomy specialization: Registered Nurse
  • Primary taxonomy: Yes
  • License

  • License number: 79688-30
  • License state: Wisconsin State License
  • Enumeration date: November 12, 2017
  • Last Update date: November 12, 2017

Terry D Herzog is not a Sole Proprietor.

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